Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”
Building Future Support
December 19, 2017
Editor's Note: This blog originally was posted December 17, 2013, and the message still serves purpose today.
Most students would rather play sports than watch other people play.
This is obvious; but often we make both little decisions and large ones that seem to ignore this truth. More often than necessary we create more opportunities for watchers than we do for players.
Ultimately this leads to non-watchers because people – especially young people – tend to lose interest when they don’t play. We know this because, in school after school, we find that the best boosters – the most frequent and fervent spectators – are the students who participate on their school’s other teams.
It is also true that those who played sports when they were in school, and those whose children now play in school sports, are the people who will support schools most strongly in the future.
This too seems obvious, but still, many school districts all across this state and nation appear to make decisions like it has never occurred to them.
Every time we cut a kid from a high school team, we create critics of our programs – the student’s parents today and this student in the future. If the program has no room for a student today, why would we ever expect that student or his/her parents will support our programs tomorrow?
No-cut policies for all outdoor sports and larger squads for indoor sports – beginning at younger grade levels – will be among the policies of school districts which hope to retain school sports beyond the next generation or two.